Medicare Reimbursement for CPT 15822

CPT 15822 is a physician procedure code (descriptor not shown due to AMA licensing). This page shows the Medicare Physician Fee Schedule (PFS) estimated allowed amount for this code, both nationally and adjustable by locality, and broken out by non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$471.62	$355.72
ALASKA* (AK)	$559.25	$435.81
ALABAMA (AL)	$426.40	$324.99
ARKANSAS (AR)	$420.69	$321.13
ARIZONA (AZ)	$459.81	$347.50
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$601.52	$438.10
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$613.07	$445.94
OXNARD-THOUSAND OAKS-VENTURA (CA)	$525.16	$388.16
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$528.09	$390.98
NAPA (CA)	$570.01	$417.25
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$602.07	$438.65
VALLEJO (CA)	$569.21	$416.45
BAKERSFIELD (CA)	$497.35	$370.32
CHICO (CA)	$495.86	$368.83
FRESNO (CA)	$495.86	$368.83
HANFORD-CORCORAN (CA)	$495.86	$368.83
MADERA (CA)	$495.86	$368.83
MERCED (CA)	$495.86	$368.83
MODESTO (CA)	$495.86	$368.83
REDDING (CA)	$495.86	$368.83
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$501.20	$374.17
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$519.14	$384.35
SALINAS (CA)	$517.17	$382.84
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$615.35	$448.22
SANTA CRUZ-WATSONVILLE (CA)	$532.75	$391.93
SANTA ROSA-PETALUMA (CA)	$538.06	$395.74
STOCKTON (CA)	$495.86	$368.83
VISALIA (CA)	$495.86	$368.83
YUBA CITY (CA)	$495.86	$368.83
EL CENTRO (CA)	$495.94	$368.91
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$528.40	$389.79
SAN LUIS OBISPO-PASO ROBLES (CA)	$508.97	$376.96
SANTA MARIA-SANTA BARBARA (CA)	$518.86	$383.72
REST OF CALIFORNIA (CA)	$495.86	$368.83
COLORADO (CO)	$489.36	$366.04
CONNECTICUT (CT)	$501.54	$376.72
DC + MD/VA SUBURBS (DC)	$535.87	$399.34
DELAWARE (DE)	$467.06	$352.55
FORT LAUDERDALE (FL)	$488.81	$371.40
MIAMI (FL)	$509.15	$388.49
REST OF FLORIDA (FL)	$466.44	$355.63
ATLANTA (GA)	$480.24	$362.48
REST OF GEORGIA (GA)	$441.83	$338.44
HAWAII, GUAM (HI)	$506.51	$374.73
IOWA (IA)	$435.83	$329.78
IDAHO (ID)	$438.60	$331.97
EAST ST. LOUIS (IL)	$463.82	$357.19
SUBURBAN CHICAGO (IL)	$493.54	$374.51
CHICAGO (IL)	$495.39	$378.91
REST OF ILLINOIS (IL)	$454.30	$348.49
INDIANA (IN)	$440.95	$333.51
KANSAS (KS)	$434.23	$329.45
KENTUCKY (KY)	$436.38	$333.34
NEW ORLEANS (LA)	$455.85	$346.79
REST OF LOUISIANA (LA)	$435.86	$333.29
METROPOLITAN BOSTON (MA)	$535.14	$396.76
REST OF MASSACHUSETTS (MA)	$486.87	$364.82
BALTIMORE/SURR. CNTYS (MD)	$500.17	$375.80
REST OF MARYLAND (MD)	$475.44	$358.15
SOUTHERN MAINE (ME)	$462.84	$347.98
REST OF MAINE (ME)	$441.04	$334.41
DETROIT (MI)	$472.17	$360.33
REST OF MICHIGAN (MI)	$447.20	$341.38
MINNESOTA (MN)	$468.94	$349.68
METROPOLITAN ST. LOUIS (MO)	$457.02	$346.68
METROPOLITAN KANSAS CITY (MO)	$452.64	$343.81
REST OF MISSOURI (MO)	$429.11	$329.21
MISSISSIPPI (MS)	$424.96	$325.17
MONTANA** (MT)	$471.59	$355.69
NORTH CAROLINA (NC)	$445.28	$337.15
NORTH DAKOTA** (ND)	$461.90	$346.00
NEBRASKA (NE)	$437.96	$330.98
NEW HAMPSHIRE (NH)	$482.08	$361.42
NORTHERN NJ (NJ)	$530.99	$396.55
REST OF NEW JERSEY (NJ)	$507.28	$380.71
NEW MEXICO (NM)	$449.60	$343.32
NEVADA** (NV)	$469.19	$353.18
MANHATTAN (NY)	$540.23	$405.56
NYC SUBURBS/LONG ISLAND (NY)	$552.90	$415.10
POUGHKPSIE/N NYC SUBURBS (NY)	$510.79	$383.88
QUEENS (NY)	$543.98	$406.98
REST OF NEW YORK (NY)	$451.51	$341.41
OHIO (OH)	$445.22	$339.40
OKLAHOMA (OK)	$435.34	$331.84
PORTLAND (OR)	$503.69	$374.92
REST OF OREGON (OR)	$465.54	$350.10
METROPOLITAN PHILADELPHIA (PA)	$489.99	$369.33
REST OF PENNSYLVANIA (PA)	$445.71	$339.32
PUERTO RICO (PR)	$474.73	$357.55
RHODE ISLAND (RI)	$482.77	$363.05
SOUTH CAROLINA (SC)	$445.99	$338.90
SOUTH DAKOTA** (SD)	$460.75	$344.85
TENNESSEE (TN)	$436.29	$330.94
BRAZORIA (TX)	$466.48	$351.62
DALLAS (TX)	$469.43	$353.99
GALVESTON (TX)	$467.87	$352.78
HOUSTON (TX)	$476.84	$361.75
BEAUMONT (TX)	$443.01	$337.54
FORT WORTH (TX)	$466.59	$352.31
AUSTIN (TX)	$487.74	$365.12
REST OF TEXAS (TX)	$454.48	$344.49
UTAH (UT)	$451.65	$342.71
VIRGINIA (VA)	$461.62	$347.69
VIRGIN ISLANDS (VI)	$474.73	$357.55
VERMONT (VT)	$460.49	$345.74
SEATTLE (KING CNTY) (WA)	$545.36	$403.15
REST OF WASHINGTON (WA)	$485.83	$363.78
WISCONSIN (WI)	$447.49	$336.45
WEST VIRGINIA (WV)	$438.73	$338.01
WYOMING** (WY)	$467.37	$351.46

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Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 1 unit per patient per day — Date of Service Edit: Policy. Units above the MUE are denied; some MUEs can be exceeded only with appropriate documentation and modifiers where policy allows.

How the amount is calculated

Medicare PFS amounts are built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — assigned to each code. Each RVU component is adjusted by locality-specific Geographic Practice Cost Indices (GPCIs) to reflect regional cost differences, then the adjusted RVUs are summed and multiplied by the annual conversion factor to produce a dollar amount. Non-facility (e.g., office) and facility (e.g., hospital) settings use different practice-expense RVUs because overhead costs differ, which is why the two amounts shown differ. These figures update annually with new RVUs, GPCIs, and conversion factor values set by CMS.

RVUs — work 4.5, practice expense 9.13 (non-facility) / 5.66 (facility), malpractice 0.49 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This is an estimate only, not a guarantee of payment.
Medicare typically pays 80% of the allowed amount after the annual Part B deductible is met; the patient or secondary insurer is responsible for the remainder.
Actual payment varies by locality, applicable modifiers, sequestration reductions, and annual budget-neutrality adjustments.
Always verify current rates and coverage rules with your Medicare Administrative Contractor (MAC).

Frequently asked

Why is the facility amount lower than the non-facility amount?

The facility rate uses a lower practice-expense RVU because Medicare assumes the facility (e.g., hospital) absorbs certain overhead costs, whereas the non-facility rate assumes the physician's office bears those costs.

Will my locality's payment match the national amount shown?

Not exactly. The national amount uses a standard GPCI baseline; your actual locality-adjusted amount will differ based on that area's wage and cost indices.

Does this amount reflect what Medicare will actually pay?

No. It reflects the estimated Medicare allowed amount before the 80/20 coinsurance split, deductible status, modifiers, and any sequestration or other adjustments are applied.

Why can't you show the CPT code description?

CPT code descriptors are copyrighted and licensed by the American Medical Association, so they cannot be reproduced here.

More free billing tools: all Medicare fees · fee calculator · denial code decoder

Estimated Medicare Physician Fee Schedule amount. Medicare generally pays 80% after the deductible; actual amounts vary by locality, modifiers, sequestration, and annual updates. Verify with your MAC.